“…Endorsement of masculinity norms is associated with a range of problematic sexual behaviors, including soliciting prostitutes, compulsive masturbation, sexual promiscuity, serial affairs, or compulsive sexuality within a relationship (Cooper, Putnam, Planchon, & Boies, 1999; Lusterman, 1997). It may be that sexual assault survivors engage in nonrelational sex as a form of avoidance of authentic and emotionally intimate sexual relationships, circumventing the possibility of feeling emotionally (Cunningham & Russell, 2004; Elder, Morrow, & Brooks, 2015a, 2015b; Schmitt, 2005). Similar to other types of behavioral avoidance associated with PTSD symptoms following sexual trauma, such as substance use (Kaysen et al, 2014), nonrelational sex may be used to alleviate or attenuate psychological distress as a negative reinforce, which, over time, leads to prolonged PTSD symptoms (Jakupcak et al, 2010).…”